MEDICARE: TAI WELLNESS ACUPUNCTURE CENTER INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	302R00000X	Health Maintenance Organization

General Provider Information

NPI Number	:	1659254316
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TAI WELLNESS ACUPUNCTURE CENTER INC

Provider Business Mailing Address
First Line	:	446 N CRAIG AVE
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91107-2460
Country	:	US
Telephone Number	:	626-466-5364
Fax Number	:

Provider Business Practice Location Address
First Line	:	446 N CRAIG AVE
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91107-2460
Country	:	US
Telephone Number	:	626-466-5364
Fax Number	:	626-578-1619

Authorized Official
Title or Position	:	ACUPUNCTRIST
Name	:	KUEI KU LIU
Credential	:
Telephone Number	:	626-466-5364

Provider Enumeration Date	:	07/30/2025
Last Update Date	:	10/28/2025

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